Multiple Abbott i-STAT Test Violations
A 5/16-5/19/22 FDA inspection at an Abbott Point of Care Canada facility in Ottawa, Canada, found multiple violations in the firm’s manufacturing of the i-STAT cTnI test intended for the quantitative measurement of cardiac troponin I in whole blood or plasma. A just-released 11/8/22 Warning Letter says the i-STAT cartridges are adulterated because Abbott does not have an approved PMA or IND in place.
The letter says the device originally was cleared through a 510(k) but there have been multiple significant design changes to the cartridges since 2003.
FDA says the device is misbranded because Abbott did not notify the agency of its intent to introduce the devices into commercial distribution.
Further, the letter says, the inspection found these Quality System Regulation violations:
- failing to adequately establish and maintain procedures for the identification, documentation, validation or, where appropriate, verification, review, and approval of design changes before their implementation; and
- failing to adequately maintain all records required by regulations.
Abbott was told to respond with a list of specific actions it has taken to address the violations and prevent their recurrence, with documentation of the corrections and a schedule for completing them.